Russo, Carl James

Russo, Carl James is an sole proprietor health care provider with primary practice located at 24825 Northern Blvd 2D, Little Neck NY 11362-1211. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Russo, Carl James can be contacted via phone (917) 568-8617.

Contact Information

Primary practice address
24825 Northern Blvd 2D Little Neck NY 11362-1211
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X X011856-1 New York

Profile Details

NPI number 1952635328
LBN Legal business name Russo, Carl James
Credentials DC STUDENT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2009
Last updated Jul 22nd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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